Barriers to utilization of cervical cancer screening services among non-medical female personnel in tertiary hospitals in south west Nigeria.
Context: Cervical cancer is the second most common cancer among women and contributes significantly to cancer related deaths among women worldwide. Women knowledge and practice of screening for pre malignant lesions vary significantly. Studies on this subject had focused mostly on either medically informed health care workers or lay community persons but hardly on non-medically informed hospital workers who forms the bulk of health workers and influences health behaviors equally or even more.
Objectives: To assess women's knowledge, attitude and practices towards cervical cancer screening and the barriers to utilizing cervical cancer screening services among non-medical female personnel in two tertiary centers in South West Nigeria
Study Design. Setting and Subjects: The study is a deseriptive cross-sectional study among female nonmedical personnel in OOUTH Sagamu and LAUTECH Ogbomosho in southwestern Nigeria. A self administered questionnaire was used to collect data from 280 women, which was analyzed using SPSS 21 statistical software.
Main Outcome Measures: The study measured knowledge, practices and barriers to utilization of screening services.
Results: Awareness is 84.3% and knowledge of screening is 77.5%. Utilization rate is low at 15%; indecision, 32 .4% feeling of good health, 28.2% and fear of positive results, 18.1 % are the main reasons for not screening. Low level of education and poor knowledge orthe disease are discovered as the most significant barriers and determinants of utilization
Conclusion and Recommendation: Women education in context specific terms is recommended as the intervention to improve screening practices amongst women of reproductive age group.